Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries.

Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Research Abstract Details 

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Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Abstract Text:

Soo Hyang Kang,Neal T Wallace,Jenny K Hyun,Anne Morris,Janet Coffman,Joan R Bloom,

OBJECTIVE: This study examined the relationship between social networks and mental health services utilization and expenditures. METHODS: A sample of 522 Medicaid mental health consumers was randomly selected from the administrative records of Colorado's Department of Health Care Policy and Financing. The administrative records contain information on utilization of services and expenditures of Medicaid beneficiaries within Colorado's Mental Health Services. In addition to the administrative records, social network and psychosocial data were gathered through longitudinal survey interviews. The interviews were conducted at six-month intervals between 1994 and 1997. Measures used in the regression analysis included demographic characteristics, clinical diagnoses, the social network index, expenditures, and utilization variables. RESULTS: The social network index was positively associated with utilization of and expenditures for inpatient services in local hospitals but negatively associated with expenditures for inpatient services in state hospitals or outpatient services. Relationships with family were negatively related to expenditures for outpatient services. Relationships with friends were positively associated with utilization of and expenditures for psychiatric inpatient services in local hospitals. CONCLUSIONS: Consumers who had higher social network index scores utilized more inpatient psychiatric services in local hospitals and had higher expenditures than those who had lower scores. Consumers who had higher social network index scores also had lower expenditures for inpatient services in state hospitals and outpatient services than those who have lower scores. Findings suggest that social network is associated with mental health utilization and expenditures in various ways, associations that need to be researched further.

Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Publishing Authors By Initials

SH Kang,NT Wallace,JK Hyun,A Morris,J Coffman,JR Bloom,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Psychiatric services (Washington, D.C.)

VOLUME: 58

Page Numbers: 689-95

Journal Abbreviation:

ISSN: 1075-2730

DAY: 3

MONTH: May

YEAR: 2007

Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Information

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LANGUAGE: eng

NlmUniqueID: 9502838

Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: utilization

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Grant and Affiliation Information for Social networks and their relationship to mental health service use and expenditures among Medicaid beneficiaries.

AFFILIATION: Department of Health Policy and Management, School of Public Health, University of California, Berkeley, CA, USA. sookang@berkeley.edu

Country: United States

AGENCY: United States NIMH

GRANT: R01-MH-54136

ACRONYM: MH

MEDLINETA: Psychiatr Serv

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